Submit a form to apply for retirement health coverage

Send us a form to apply for extended health care and/or dental coverage when you apply for your pension – or any time after you've retired.

1. Fill in the form online
2. In Part 2, select the box beside the plan(s) you wish to enrol in: Extended Health Care, Essential Dental or Enhanced Dental
3. If you are applying for coverage for your dependants, include the name(s) of your spouse and/or eligible children in Part 3
4. Print, sign and date the form
5. Send it to the Municipal Retiree Benefit Trust.

You can apply for retirement health care and dental coverage if you:

• Are a permanent resident of Canada
• Have medical coverage through a provincial health plan in the province where you live if you're applying for extended health care coverage
• Are within 60 days of your retirement date, or you can provide proof of continuous coverage in a comparable plan if you are applying after this date

Your spouse and/or dependant(s) are eligible if they:

• Are a permanent resident of Canada
• Have medical coverage through a provincial health plan in the province where they live if they're applying for extended health care coverage
• Are joining the plan within 60 days of your retirement date, or you can provide proof of their continuous coverage in a comparable plan if they are applying after this date